Lee, Pamela
Lee, Pamela is an individual health care provider with primary practice located at 1801 Wilshire Blvd 100, Santa Monica CA 90403-5609. She recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietary Manager, Dietary & Nutritional Service Providers / Nutrition, Metabolic. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Lee, Pamela can be contacted via phone (310) 828-7172.Contact Information
Primary practice address
1801 Wilshire Blvd 100
Santa Monica CA 90403-5609
Phone: (310) 828-7172
Fax: (310) 828-8662
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 803731 | California |
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 803731 | California |
| Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X | 803731 | California |
| Dietary & Nutritional Service Providers / Dietary Manager | 132700000X | 803731 | California |
| Dietary & Nutritional Service Providers / Nutrition, Metabolic | 133VN1006X | 803731 | California |
Profile Details
| NPI number | 1912019803 |
|---|---|
| LBN Legal business name | Lee, Pamela |
| Credentials | MPH, RD, CDE |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 19th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912019803 | NPPES |
| California | MEDICAID | 0NT803731 |
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